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通过注射或电解给予富含氧气的水对麻醉猪经皮氧分压的影响。

Effect of administration of water enriched in O2 by injection or electrolysis on transcutaneous oxygen pressure in anesthetized pigs.

作者信息

Charton Antoine, Péronnet François, Doutreleau Stephane, Lonsdorfer Evelyne, Klein Alexis, Jimenez Liliana, Geny Bernard, Diemunsch Pierre, Richard Ruddy

机构信息

Department of Anesthesia and Critical Care, and EA 3072, Hôpital de Hautepierre; University of Strasbourg, Strasbourg, France.

Department of Kinesiology, Université de Montréal, Montreal, QC, Canada.

出版信息

Drug Des Devel Ther. 2014 Aug 26;8:1161-7. doi: 10.2147/DDDT.S66236. eCollection 2014.

Abstract

BACKGROUND

Oral administration of oxygenated water has been shown to improve blood oxygenation and could be an alternate way for oxygen (O2) supply. In this experiment, tissue oxygenation was compared in anesthetized pigs receiving a placebo or water enriched in O2 by injection or a new electrolytic process.

METHODS

Forty-two pigs randomized in three groups received either mineral water as placebo or water enriched in O2 by injection or the electrolytic process (10 mL/kg in the stomach). Hemodynamic parameters, partial pressure of oxygen in the arterial blood (PaO2), skin blood flow, and tissue oxygenation (transcutaneous oxygen pressure, or TcPO2) were monitored during 90 minutes of general anesthesia. Absorption and tissue distribution of the three waters administered were assessed using dilution of deuterium oxide.

RESULTS

Mean arterial pressure, heart rate, PaO2, arteriovenous oxygen difference, and water absorption from the gut were not significantly different among the three groups. The deuterium to protium ratio was also similar in the plasma, skin, and muscle at the end of the protocol. Skin blood flow decreased in the three groups. TcPO2 slowly decreased over the last 60 minutes of the experiment in the three groups, but when compared to the control group, the values remained significantly higher in animals that received the water enriched in O2 by electrolysis.

CONCLUSIONS

In this protocol, water enriched in O2 by electrolysis lessened the decline of peripheral tissue oxygenation. This observation is compatible with the claim that the electrolytic process generates water clathrates which trap O2 and facilitate O2 diffusion along pressure gradients. Potential applications of O2-enriched water include an alternate method of oxygen supply.

摘要

背景

口服富氧水已被证明可改善血液氧合,可能是一种供氧的替代方式。在本实验中,对接受安慰剂、通过注射或新的电解工艺制备的富氧水的麻醉猪的组织氧合情况进行了比较。

方法

42头猪随机分为三组,分别接受矿泉水作为安慰剂、通过注射或电解工艺制备的富氧水(10 mL/kg经胃给药)。在全身麻醉的90分钟内监测血流动力学参数、动脉血氧分压(PaO2)、皮肤血流量和组织氧合(经皮氧分压,即TcPO2)。使用氧化氘稀释法评估三种给药水体的吸收和组织分布情况。

结果

三组之间的平均动脉压、心率、PaO2、动静脉氧差和肠道水吸收无显著差异。实验结束时,血浆、皮肤和肌肉中的氘氢比也相似。三组的皮肤血流量均下降。在实验的最后60分钟,三组的TcPO2均缓慢下降,但与对照组相比,接受电解富氧水的动物的TcPO2值仍显著更高。

结论

在本实验方案中,电解富氧水减轻了外周组织氧合的下降。这一观察结果与电解工艺产生包合物捕获氧气并促进氧气沿压力梯度扩散的说法相符。富氧水的潜在应用包括作为一种供氧的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5441/4154880/bc5b0b089dba/dddt-8-1161Fig1.jpg

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